The nurse is admitting a client who is experiencing severe abdominal pain, a hemoglobin level of...

The nurse is admitting a client who is experiencing severe abdominal pain, a hemoglobin level of 8.6 and with difficulty passing of flatus. The client reports having emesis that looked like the food he just ate for one week prior to coming to the Emergency Room. An order to 1500 mL of IV fluid replacement over 90 minutes is ordered prior to receiving blood products. (20 points each)

Describe the additional history will nurse anticipate gathering and why.
Identify potential diagnoses the nurse might anticipate with rationale.
Discuss the differences between an ileostomy and colostomy. List the stool, fluid, and bowel characteristics of each.
The provider orders 2 units packed red blood cells. The client care technician delivers the units of blood to the nurse at 0620. IV fluids were completed at 0700. How quickly must the nurse administer each unit of blood at (in mL/hour) if each contains 350 mL? Round to the nearest whole number.

Solutions

Expert Solution

1)history
‌-age of the patient
‌-colour of stool
‌-frequency and time of vomiting
‌-starting location of pain
-‌How long have you been paining
‌-weight loss or not, if yes then how much weight did he/she loss.
-‌is there any mass or lump in abdomen before
‌-bowel habbit

2) Diagnosis

-Physical examination

-Laboratory checks — entire blood count (CBC), liver enzymes, pancreatic enzymes (amylase and lipase), pregnancy, and urinalysis tests

-Plain X-rays of the abdomen

-Radiographic studies

-Ultrasound

-Computerized tomography (CT) of the stomach (this includes all organs and the intestines)

3) Ileostomy is a surgical operation in which a broken phase is eliminated from the ileum and the reduce give up deviated to an synthetic porta in the belly wall.

Stoma is produced from the lining of your intestine. It will be pink or red, moist, and a little shiny. Stool that comes from your ileostomy is skinny or thick liquid, or it may additionally be sticky. It is not stable like the stool that comes from your colon.

Colostomy is a surgical method that brings one end of the large gut out through the abdominal wall. During this procedure, one give up of the colon is deviated via an cut in the stomach wall to form a stoma. A stoma is the porta in the skin the place a pouch for collecting feces is attached.

Stool usually stop free and liquid during its passage through the higher colon. There, water is absorbed from it, so the stool gets less attackable as it nears the rectum. The rising colon goes up the right side of your body. The stool here is liquid and particularly acidic, and it contains digestive enzymes.

4)The speed at which nurse administer blood:

Nightingale answered 1 year ago

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